SMITH, RAUSHONDA
NPI: 1164442596
· SHAKER HEIGHTS, OH 44120
· Dentist
· NPI assigned 07/20/2006
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
59 |
$2K |
| 2019 |
28 |
$590.25 |
| 2020 |
24 |
$360.00 |
| 2021 |
57 |
$701.20 |
| 2022 |
13 |
$342.55 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0150 |
Comprehensive oral evaluation - new or established patient |
88 |
88 |
$2K |
| D1206 |
Topical application of fluoride varnish |
37 |
37 |
$555.00 |
| D1110 |
Prophylaxis - adult |
12 |
12 |
$375.43 |
| D1120 |
Prophylaxis - child |
12 |
12 |
$240.00 |
| D0230 |
Intraoral - periapical each additional radiographic image |
18 |
15 |
$75.00 |
| D0220 |
Intraoral - periapical first radiographic image |
14 |
14 |
$70.00 |